RUBEN JORDAN MECHELL DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****25

License Status

NOT RENEWED

Business

Title

DPM

First Name

RUBEN

Middle

JORDAN

Last Name

MECHELL

Business Name

RUBEN JORDAN MECHELL DPM

Original Issue Date

06/21/2011

Effective Date

12/27/2012

Expiration Date

01/31/2015

City

CHICAGO

State

Zip

60654

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/09/2015